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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 47-year-old patient with end-stage renal disease undergoing hemodialysis has an HCT of 23% and exhibits anginal symptoms. Upon further Workup, no evidence of occult bleeding is found.
In addition to antianginal therapy, which of the following is the most appropriate initial treatment for this patient's anemia?

A) Subcutaneous erythropoietin
B) Iron dextran
C) Oral iron
D) Two units of PRBCs

2. A study shows that the participants who received 6 months of a new oral anticoagulant after a venous thromboembolism were randomized to continue with the new oral anticoagulant (n =
612) or to placebo (n = 611) for 18 months. Thromboembolism recurred in 12 subjects in the new oral anticoagulant group and 71 subjects in the placebo group (hazard ratio 0.17; 95% CI, 0.09-
0.30; p < 0.001).
Which of the following statements regarding these results is correct?

A) The difference between the new oral anticoagulant and placebo in the secondary prevention of venous thromboembolism is not statistically significant.
B) The new oral anticoagulant reduces the relative risk of a secondary venous thromboembolism by 17% compared to placebo.
C) The new oral anticoagulant reduces the relative risk of a secondary venous thromboembolism by 9.6% compared to placebo.
D) The new oral anticoagulant reduces the relative risk of a secondary venous thromboembolism by 83% compared to placebo.

3. A patient presents to the emergency department with an acute Ischemic stroke. The symptoms have been present for just over an hour.
Which test would be most appropriate to help determine the patient's eligibility to receive t-PA?

A) CT scan
B) MRI
C) Neurologic exam
D) Cerebral angiogram

4. A patient with a COPD exacerbation is treated with prednisone 40 mg daily for one week with improvement. To discontinue the prednisone, the most appropriate procedure would be which of the following?

A) Reducing the daily prednisone dose by 50% every day until the patient is off the drug.
B) Reducing the daily prednisone dose by 50% every other day until it is down to 10 mg daily, then reducing it by 25% every other day until the patient is off the drug.
C) Reducing the daily prednisone dose by 25% every day until the patient is off the drug.
D) Stopping prednisone administration without dose tapering.

5. A 48 year old man attends a local pharmacy health fair for a blood pressure check. His blodd pressure on two recent occasions has averaged 138/88 mm Hg.
According to the American Society of Hypertension, what is this patient's blood pressure classification?

A) Prehypertension
B) Normotensive
C) Stage 1
D) Stage 2

Solutions: